Analysis of the Variables Affecting Outcome in Fractures of the
Distal Radius Treated by Open Reduction and Volar Locking
Plate

Introduction: Distal radius fractures are one of the most common injuries which come to the orthopaedic surgeons. Displaced extra-or intra-articular fractures require anatomical reduction for a good outcome. Historically, these fractures were treated with manipulation and casting, with or without Kirschner (K) wire fixation. Modern plating techniques have been advocated to restore anatomical alignment and allow early mobilisation. Despite the wide variety of treatment options available there is still debate about the best way to treat these fractures. The aim of this study was to evaluate fifty cases of fracture distal end radius treated by open reduction and internal fixation using locking compression plating (LCP). Methods: The present study was carried out on 50 cases of acute fracture distal radius admitted at a tertiary care hospital treated by open reduction and internal fixation using locking compression plating (LCP) between January 2018 and December 2018. Functional results were rated at the end of the study as excellent, good or poor as criteria laid down by Gartland and Werley’s combined subjective and objective criteria. Results: 50 cases of fracture distal radius were selected for study that fulfill the inclusion criteria, were operated and studied. 10 fractures were fixed using Extra-articular Locking Compression T-Plates, 40 fractures were fixed using Juxtaarticular Locking Compression T-Plates. According to the Gartland and Werley’s rating scale, 20 had excellent results, 23 good results, and 07 fair results during latest follow up. Conclusion: Notwithstanding a very small sample size and a short follow up, Volar locking plate osteosynthesis at the distal radius signifies a significant improvement in the treatment of distal radial fractures in terms of restoration of the shape and function of the wrist.

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Functional analysis of extra-articular and intra-articular distal radius fractures managed with open reduction and internal fixation using volar locking plate

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2020.v6.i3i.2256 ◽

2020 ◽

Vol 6 (3) ◽

pp. 576-582

Author(s):

Dr. Sanjeev Dhanda ◽

Dr. Amit Saoji ◽

Dr. Jaskaram Singh Virk ◽

Dr. Vikram Singh Bath

Keyword(s):

Functional Analysis ◽

Internal Fixation ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Distal Radius Fractures ◽

Volar Locking Plate ◽

Radius Fractures

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Results of open reduction and fixed angle locked volar plate fixation for fracture lower end of radius

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20194246 ◽

2019 ◽

Vol 5 (6) ◽

pp. 1055

Author(s):

Gaurav Kumar ◽

Varun Vijay

Keyword(s):

Functional Outcome ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Plate Fixation ◽

Volar Plate ◽

Volar Locking Plate ◽

Radius Fractures ◽

Fixed Angle ◽

Volar Plate Fixation

Background: The fracture of lower end radius is the most common fracture of upper extremity encountered in practice. Intra-articular fractures of distal radius present a challenging task to the operating surgeon. Open reduction and internal fixation using volar fixed-angle plates has shown to be a valid treatment option for unstable, dorsally displaced distal radial fractures. The present study was undertaken to evaluate the functional outcome of unstable distal radius fractures treated with fixed angle volar locking plate.Methods: The current study aimed at using fixed angle volar locking plate to treat unstable distal radius fractures. A total of 25 patients records were studied comprising of 19 males and 6 females with a mean of 44.5 years and followed up for a maximum of 1.5 year. Fractures were classified using the AO classification. The interpretation of functional outcome was done according to Mayo Wrist Score.Results: At final functional assessment, according to the Mayo wrist score, the scores of 6 patients were excellent, 10 patients good, 8 patients satisfactory and 1 patient poor. No non-union was reported in any patients. 3 patients developed minor complications in the form of superficial infection, hypertrophic scar and reflex sympathetic dystrophy and 1 patient developed major complication in the form of deep infection.Conclusions: Primary volar plate fixation of unstable distal radius fracture provides a stable construct that helps in early mobilization, better functional outcome and minimizes chances of complications and thereby is the treatment of choice for fracture distal end of radius.

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Polyaxial Locking Plate in Fractures of the Distal Radius

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2020/v32i2230709 ◽

2020 ◽

pp. 79-88

Author(s):

Mostafa F. Mohamed ◽

Ali M. Emran ◽

Osama A. Selim ◽

Mahmoud A. El Rosasy

Keyword(s):

Internal Fixation ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Locking Plates ◽

Volar Locking Plate ◽

Radiological Assessment ◽

Radius Fractures ◽

The Mean

Introduction: Volar locking plate represents the gold standard method of treatment of unstable distal end radius fractures. Objectives: The Present study aimed to identify the functional and radiological outcomes of distal radius fractures treated by open reduction and internal fixation using polyaxial volar locking plate. Patients and Methods: We reviewed 25 unstable distal end radius fractures that were operated in Orthopedic Department in Tanta University Hospital with polyaxial volar locking plates June 2018 to June 2019. The mean age of the patients was 40.8±14.34 years (range 24 to 65) and the mean duration of follow-up was 8.61 ± 3.19 months (range 6 to 17). All of the patients underwent open reduction and internal fixation with polyaxial locking plate through over flexor carpi radialis approach. After three months, pain, tendon functions, ROM, hand grip as well as radial median and ulnar nerves functions were well assessed. X-rays were done to assure full fracture consolidation. At the end of follow up, clinical results were evaluated according to Quick DASH Score. Castaign radiological assessment score was used for radiological evaluation. Results: There was a significant improvement in the functional indices from twelve weeks to the final follow-up. According to Castaign radiological assessment score 10 patients (40%) had excellent results, 14 patients (56%) had good results and 1 patient (4%) had fair results, no patients had poor results at the final follow up. Compared the performance of the polyaxial locking plate to another monoaxial plate and reported an improved range of radial and ulnar deviation with the variable angle device but they use another plate system. Conclusions: The use of polyaxial locking plates in treating unstable distal end radius fractures is associated with excellent to good functional results with minimal complications.

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Open Reduction & Internal Fixation of a Distal Radius Fracture with a Volar Locking Plate: A Case Report

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i60a34451 ◽

2021 ◽

pp. 37-40

Author(s):

P. M. Mervinrosario ◽

Vijay Narasimman Reddy ◽

Aravind Ravichandran

Keyword(s):

Case Report ◽

Internal Fixation ◽

Distal Radius Fracture ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Radius Fracture ◽

Treatment Modalities ◽

Locking Plates ◽

Volar Locking Plate

The present case report describe Open Reduction & Internal Fixation of a Distal Radius Fracture With a Volar Locking Plate. Anatomical reduction & stable fixation of fracture with or without bone grafting, greatly reduces the incidence of post-traumatic osteoarthritis & stiffness. The accuracy of fracture reduction co- relates directly to the final outcome. A 34-year-old man fell on his right outstretched h&. He presented to the casuality & on physical examination, he was noted to have deformity about his right wrist with moderate swelling. There was no neuro-vascular deficit. Various treatment modalities have been developed for distal radius fracture fixation. Treatment options range from closed reduction & cast application to open reduction with plates & screws. Locking plates address intra-articular & metaphyseal comminution. Biomechanical studies comparing volar fixed- angle locking plates with that of conventional dorsal plates report volar fixed-angled plates to be superior in terms of their strength.

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Comparative Study between Bridging External Fixation vs Volar Plating (Ellis-T Plate) for Comminuted Fracture of the Distal End Radius

The Duke Orthopaedic Journal ◽

10.5005/jp-journals-10017-1051 ◽

2015 ◽

Vol 5 (1) ◽

pp. 20-24 ◽

Cited By ~ 1

Author(s):

SK Venkatesh Gupta ◽

Pradeep Mandapalli

Keyword(s):

Comparative Study ◽

Internal Fixation ◽

External Fixation ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Volar Locking Plate ◽

Volar Plating ◽

Comminuted Fracture ◽

Plate Group

ABSTRACT Background The purpose of this study is to compare between the open reduction and internal fixation (ORIF) using a volar plate and external fixation with K-wire fixation for the treatment of unstable distal radius fractures. Materials and methods This investigation was designed to prospectively evaluate the outcomes of similar distal radius fracture patterns treated by ORIF with volar plating vs closed reduction and pinning with external fixation. Results Open reduction and internal fixation with volar locking plate group has overall decrease incidence of complications significantly less radial shortening and significantly greater postoperative wrist motion when compared to external fixation. Conclusion Use of volar locking plate resulted in a faster recovery of function compared with external fixation. Use of volar locking plate resulted in better anatomical function and grip strength. However, no functional advantage was demonstrated at or beyond 12 weeks or 1 year. Gupta SKV, Mandapalli P. Comparative Study between Bridging External Fixation vs Volar Plating (Ellis-T Plate) for Comminuted Fracture of the Distal End Radius. The Duke Orthop J 2015;5(1):20-24.

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